Diagnosis and treatment of primary angitis of central nervous system.
- VernacularTitle:中枢神经系统原发性血管炎的诊断与治疗
- Author:
Mingguang ZHANG
;
Qiwu XU
;
Xiaoming JU
;
An SUN
;
Weimin BAO
;
Fulin ZHANG
- Publication Type:Journal Article
- From:
Chinese Journal of Nervous and Mental Diseases
2001;27(1):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate methods for the diagnosis and treatment of primary angitis of central nervous system (PACNS). Methods Radiological and clinical feature, operative resutls of 12 patients with mass lesion presentations of PACNS were analyzed retrospectively. Results The lesions showed low density on CT and long T1 and long T2 signal on MRI. The ring-wall enhanced lesions on MRI were flowery in 7 patients. Gross total resection of the lesions were performed in 10 patients with excellent recovery postoperatively. Growth of lesions were observed in 2 patients who underwent subtotal resection. Conclusions Lesions of PACNS have special appearance on enhanced MRI. More patients with mass lesion presentations of PACNS could be diagnosed preoperatively according to radiological and clinical feature.For these patients, surgery is the optimal treatment at present.